{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:49:09Z","timestamp":1768434549146,"version":"3.49.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,9,17]],"date-time":"2019-09-17T00:00:00Z","timestamp":1568678400000},"content-version":"vor","delay-in-days":259,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,1]]},"abstract":"Abstract<\/jats:title>\n \n Introduction<\/jats:title>\n \n We report the first case of empyema necessitatis (EN) with pleural fistula and septic arthritis caused by\n Streptococcus agalactiae<\/jats:italic>\n following blunt trauma.\n <\/jats:p>\n <\/jats:sec>\n \n Presentation of the case<\/jats:title>\n A 46-year-old man with diabetes mellitus and a history of recent right rib fracture and right knee bruising presented with dyspnea and right knee pain. He was diagnosed with EN and underwent chest drainage, followed by open-window thoracotomy. Septic arthritis occurred on day 8 after thoracotomy. The chest wall wound healed after 3 months.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n EN is a rare complication of empyema. In this patient, infection was invasive, causing necrotizing pneumonia with a pleural fistula. To our knowledge, there are no reports of group B streptococcal EN with a pleural fistula resulting from blunt chest trauma.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Group B streptococcal infection might become invasive in immunocompromised patients, so careful follow-up for those patients is important.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2019.09.006","type":"journal-article","created":{"date-parts":[[2019,9,18]],"date-time":"2019-09-18T01:41:23Z","timestamp":1568770883000},"page":"44-47","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Group B streptococcal empyema necessitatis with pleural fistula after blunt trauma"],"prefix":"10.1097","volume":"63","author":[{"given":"Takashi","family":"Ohki","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiki","family":"Shigematsu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shunzo","family":"Hatooka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-11-20260114","doi-asserted-by":"crossref","first-page":"266","DOI":"10.2214\/ajr.169.1.9207542","article-title":"Chest case of the day. Morgagni\u2019s hernia","volume":"169","author":"Gilkeson","year":"2013","journal-title":"Am. J. Roentgenol"},{"key":"R3-11-20260114","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1097\/IPC.0000000000000213","article-title":"A case of empyema necessitans with rib osteomyelitis caused by group b Streptococcus and literature review","volume":"23","author":"Patolia","year":"2015","journal-title":"Infect. Dis. Clin. Pract"},{"key":"R4-11-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijsu.2018.10.028","article-title":"The SCARE 2018 statement: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. 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Infect. Dis"},{"key":"R8-11-20260114","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/ofid\/ofy030","article-title":"Obesity, diabetes, and the risk of invasive group B Streptococcal disease in nonpregnant adults in the United States","volume":"5","author":"Pitts","year":"2018","journal-title":"Open Forum Infect. Dis"},{"key":"R9-11-20260114","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1093\/ejcts\/ezv272","article-title":"EACTS expert consensus statement for surgical management of pleural empyema","volume":"48","author":"Scarci","year":"2015","journal-title":"Eur. J. Cardio-Thoracic. Surg"},{"key":"R10-11-20260114","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1093\/icvts\/ivs078","article-title":"Conservative treatment of post-lobectomy bronchopleural fistula","volume":"15","author":"G\u00f3mez","year":"2012","journal-title":"Interact. Cardiovasc. Thorac. 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Dis"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026121930505X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026121930505X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201963000-00011","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:19:51Z","timestamp":1768396791000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201963000-00011"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":12,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2019.09.006","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2019,1]]}}}